Membership Application Form
Name
*
First Name
Last Name
Company Name
E-mail
*
Confirmation Email
example@example.com
Address
*
Street Address
Street Address Line 2
City
State
Post Code
Contact Phone Number
*
Mobile Number Prefered
Date of Birth
*
-
Day
-
Month
Year
Occupation
Emergency Contact Name
*
Emergency Contact Number
*
Phone Number
Membership Type
*
Adult Pennant Bowling Member
Aged Pensioner Pennant Bowling Member
Junior Pennant Bowling Member (Under 18 years as at 1st July)
Student Pennant Bowling Member (over 18 in fulltime course at a recognised University of TAFE in Victoria)
Social Member
Are you?
*
Transferring from another club
A returning MPBC member
New bowling member
Name of previous bowling club
Proposer Name
First Name
Last Name
Seconder Name
First Name
Last Name
Nominees must be proposed and seconded by MPBC Full Membership holders
An invoice will be sent for payment one your application is approved by the MPBC Committee
Upon appectance to the MPBC, you agree to abide to the Club Rules & Regulations
Special Notes
Submit
Print Form
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